Evidence map›Paper›PMID 41023633›Full record

SynthesisBMC neurology2025

Convolutional neural network models of structural MRI for discriminating categories of cognitive impairment: a systematic review and meta-analysis.

Xinxiu Dong, Yang Li, Jianbo Hao, Pengjun Zhou, Chongming Yang, Yating Ai, Meina He, Wei Zhang, Hui Hu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xinxiu Dong *School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Yang Li *School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Jianbo Hao *Department of Tuina and Rehabilitation Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, China.
Pengjun ZhouSchool of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Chongming YangResearch Support Center, College of Family, Home, and Social Sciences, Brigham Young University, Provo, UT, USA.
Yating AiSchool of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Meina HeSchool of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China.
Wei Zhang *Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. zhangwei_hosp@163.com.
Hui Hu *School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China. Zhongyi90@163.com.

Funding

Science and Technology Research Project of Hubei Provincial Department of Education B2022285
6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) and mild cognitive impairment (MCI) pose significant challenges to public health and underscore the need for accurate and early diagnostic tools. Structural magnetic resonance imaging (sMRI) combined with advanced analytical techniques like convolutional neural networks (CNNs) seemed to offer a promising avenue for the diagnosis of these conditions. This systematic review and meta-analysis aimed to evaluate the diagnostic performance of CNN algorithms applied to sMRI data in differentiating between AD, MCI, and normal cognition (NC).

methodsFollowing the PRISMA-DTA guidelines, a comprehensive literature search was carried out in PubMed and Web of Science databases for studies published between 2018 and 2024. Studies were included if they employed CNNs for the diagnostic classification of sMRI data from participants with AD, MCI, or NC. The methodological quality of the included studies was assessed using the QUADAS-2 and METRICS tools. Data extraction and statistical analysis were performed to calculate pooled diagnostic accuracy metrics.

resultsA total of 21 studies were included in the study, comprising 16,139 participants in the analysis. The pooled sensitivity and specificity of CNN algorithms for differentiating AD from NC were 0.92 and 0.91, respectively. For distinguishing MCI from NC, the pooled sensitivity and specificity were 0.74 and 0.79, respectively. The algorithms also showed a moderate ability to differentiate AD from MCI, with a pooled sensitivity and specificity of 0.73 and 0.79, respectively. In the pMCI versus sMCI classification, a pooled sensitivity was 0.69 and a specificity was 0.81. Heterogeneity across studies was significant, as indicated by meta-regression results.

conclusionCNN algorithms demonstrated promising diagnostic performance in differentiating AD, MCI, and NC using sMRI data. The highest accuracy was observed in distinguishing AD from NC and the lowest accuracy observed in distinguishing pMCI from sMCI. These findings suggest that CNN-based radiomics has the potential to serve as a valuable tool in the diagnostic armamentarium for neurodegenerative diseases. However, the heterogeneity among studies indicates a need for further methodological refinement and validation.

trial registrationThis systematic review was registered in PROSPERO (Registration ID: CRD42022295408).

Indexed as

Alzheimer DiseaseBrainCognitive DysfunctionMagnetic Resonance ImagingNeural Networks, ComputerConvolutional Neural NetworksHumansAlzheimer’s diseaseConvolutional neural networksDiagnostic accuracyMild cognitive impairmentRadiomicsStructural magnetic resonance imaging

Identifiers

PMID41023633
PMCPMC12482330

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.